Dengue haemorrhagic fever in Indonesia.
Dengue haemorrhagic fever in Indonesia.
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印度尼西亚出现登革出血热。
DOI：
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发表时间：
1987
影响因子：
0.2
通讯作者：
Sumarmo
中科院分区：
文献类型：
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作者：
Sumarmo
登革出血热（DHF）于1968年在印度尼西亚的雅加达和泗水市首次得到确认，比在菲律宾得到确认晚了15年。在1968年暴发期间，共报告了58例临床病例，其中24例死亡。自那时以来，报告的病例数急剧增加，记录的病例数最多的年份是1973年（10,189例）、1983年（13,668例）和1985年（13,588例）。这种疾病的爆发已经蔓延到大多数主要城市地区以及一些农村地区。1985年，该病已蔓延到27个省中的26个和300个县或市中的160个。目前，该病在许多大城市和小城镇流行。有趣的是，在一些城市没有登革出血热的报告，尽管这些城市的登革热病毒传播率很高。登革出血热在整个国家的流行模式已变得不规则。自1982年以来，登革出血热的强度和传播在印度尼西亚造成了日益严重的公共卫生问题，特别是在占该国总人口60%的爪哇。1982年，爪哇占该国所有病例的71%，1983年占84%，1984年占91%。登革出血热的月发病率高峰经常在10月至4月期间报告，这几个月恰逢雨季。根据五年内（1981-1985年）报告的病例估计，印度尼西亚的发病率为每10万人3.39至8.65人。
Dengue haemorrhagic fever (DHF) was first recognized in Indonesia in the cities of Jakarta and Surabaya in 1968, 15 years after its recognition in the Philippines. During the 1968 outbreak, a total of 58 clinical cases with 24 deaths were reported. The number of reported cases since then has increased sharply, with the highest number of cases recorded in the years 1973 (10, 189 cases), 1983 (13,668 cases), and 1985 (13,588 cases). Outbreaks of the disease have spread to involve most of the major urban areas, as well as some of the rural areas. In 1985, the disease had spread to 26 of 27 Provinces and 160 of 300 regencies or municipalities. At present, the disease is endemic in many large cities and small towns. Interestingly, DHF has not been reported in some cities, even though dengue virus transmission rates in those cities are high. The epidemic pattern of DHF for the country as a whole has become irregular. Since 1982, the intensity and spread of DHF has created an increasing public health problem in Indonesia, particularly in Java where 60% of the total population of the country resides. Java contributed about 71% of all cases occurring in the country in 1982, 84% in 1983, and 91% in 1984. The peak monthly incidence of DHF was frequently reported during October through April, months which coincide with the rainy season. The morbidity rate for Indonesia, estimated from reported cases over five years (1981-1985), ranged between 3.39 to 8.65 per 100,000 population.